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Guide ecg sportivi Downloaded from http eurheartj oxfordjournals org by guest on June European Heart Journal ?? doi eurheartj ehp ESC REPORT Recommendations for interpretation of -lead electrocardiogram in the athlete Domenico Corrado Antonio Pelliccia He

Downloaded from http eurheartj oxfordjournals org by guest on June European Heart Journal ?? doi eurheartj ehp ESC REPORT Recommendations for interpretation of -lead electrocardiogram in the athlete Domenico Corrado Antonio Pelliccia Hein Heidbuchel Sanjay Sharma Mark Link Cristina Basso Alessandro Bif n Gianfranco Buja Pietro Delise Ihor Gussac Aris Anastasakis Mats Borjesson Hans Halvor Bj? rnstad Franc ois Carre Asterios Deligiannis Dorian Dugmore Robert Fagard Jan Hoogsteen Klaus P Mellwig Nicole Panhuyzen-Goedkoop Erik Solberg Luc Vanhees Jonathan Drezner N A Mark Estes III Sabino Iliceto Barry J Maron Roberto Peidro Peter J Schwartz Ricardo Stein Gaetano Thiene Paolo Zeppilli and William J McKenna on behalf of the Sections of Sports Cardiology of the European Association of Cardiovascular Prevention and Rehabilitation and the Working Group of Myocardial and Pericardial Disease of the European Society of Cardiology Department of Cardiac Thoracic and Vascular Sciences University of Padua Medical School Via Giustiniani Padova Italy Institute for Sports Sciences Rome Italy Cardiovascular Rehabilitation Unit KU Leuven Leuven Belgium King ? s College Hospital London UK New England Medical Center Boston MA USA Department of MedicalDiagnostic Sciences University of Padua Padua Italy Civil Hospital Conegliano Italy University of Medicine and Dentistry RWJ Medical School New Brunswick NJ USA Division of Inherited Cardiovascular Diseases University of Athens Greece Department of Medicine Sahlgrens University Hospital O ? stra Gothenburg Sweden Department Heart Disease Haukeland University Hospital Bergen Norway Sport Medicine University of Rennes Rennes France Sports Medicine Aristotle University Thessaloniki Greece Wellness Medical Center Stockport UK Department of Cardiology Maxima Medical Centre Veldhoven Netherlands Heart Center NRW University Hospital Bad Oeynhausen Germany Department Cardiology Nijmegen The Netherlands Department of Medicine Diakonhjemmet Hospital Oslo Norway Department of Family Medicine University of Washington Seattle WA USA Hypertrophic Cardiomyopathy Center Minneapolis Heart Institute Foundation Minneapolis MN USA Favaloro Foundation Buenos Aires Argentina Department of Cardiology Fondazione IRCCS Policlinico San Matteo Pavia Exercise Pathophysiology Research Laboratory Hospital de Clinicas Porto Alegre Porto Alegre Brazil Sports Medicine Department Institute of Internal Medicine and Geriatrics Catholic University of Sacred Heart Rome Italy and The Heart Hospital University College of London London UK Received July revised September accepted October online publish-ahead-of-print November Cardiovascular remodelling in the conditioned athlete is frequently associated with physiological ECG changes Abnormalities however may be detected which represent expression of an underlying heart disease that puts the athlete at risk of arrhythmic cardiac arrest during sports It is mandatory that ECG changes resulting from intensive physical training are distinguished from abnormalities which re n ect a potential cardiac pathology The present article represents the consensus statement of an international panel of cardiologists and sports medical phys- icians with expertise in the n elds of electrocardiography imaging inherited cardiovascular disease cardiovascular pathology and manage- ment of young competitive athletes The document provides cardiologists and sports medical physicians with a modern approach to correct interpretation of -lead ECG in the athlete and emerging understanding of incomplete penetrance of inherited cardiovascular disease When the ECG of an athlete is examined the main